The URL can be used to link to this page

3534 Coachman Rd PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA093336 Date Issued: 04/06/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3534 Coachman Rd Lot: 17 Block: I Addition: Hampton Heights PID: 10-31900-170-01 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zoning: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Gerald holkind 1920 County Road C West 3534 Coaclunan Rd Roseville NIN 55113 Eagan NIN 55122 (61)264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature CITY OF EAGAN `r 3830 Pilot Knob Road, P.O. 6ox 21-199, Eagan, MN 55121 1 S71 1 E' BUILDING PERIillft PHONE: 454-8100 Receipt # i To be used for B/WENENT F1NI3H Est. value _ Date SEP tg , 199!1 - 1 Lot 17 - Block I_ Parcel No. OFFICE USE ONIY Occupancy _ Zoning FEES W Name GElt,A!:n K,?3rtaan o Address 353e GQACHMAN Rn City RAGAN Phone 43-2-700,l4 Zo Name SAME Address ?6 1- City Phone Phone that I have read this application and state that t and agree to comply with all applicable State d City oi Eagan Ordinances. Signature A Buildinc with all Building Official (ACtuaq Const _ Bidg. Permit (Allowable) - " Suscharga # o{ Stories - Length _ Plan Review DeDih - SAC, Ciry S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Si1e Well - Water Meter MWCC System - _ City Water A°ct• DePosit PFV Required _ S/1N Permit Boosler Pump - S/yy Surcharga Treatment PI APPROVALS Road Unit Pianner - Ca ncil Park Ded. u Bldg Qfi _ Copies .50 Variance - TOTAL 36 • 00 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.VA.C. ELECTRIC 3389 0 Inspection Date Insp. Comments Footings I Foundation . Framing Roofing Rough Pibg. Rough Htg. Isul. Frepiace Final Htg. Orstat Test Final Plbg. Plbg. Inspeclor - Noti(y Plumber Const. Meter EngrJPlan Bldg. Final Dedt Ftg. Dedc Final Well Pr. Disp. BUILDING PERMIT To be used for dECK Site Address 3534 COACHltAp RD ' Lot " Block 1 Sec/Sub.HPMpTON HYS 1ST Parcel No. W Name GERALD L 1CDLKIND ? Address 3534 pOrlCMSAK RD ? CitY EAGAN Phone 432-7504 t? Name s? OU g Address s ? City Phone va W Name ? ; Address <W City Phone I hereby acknowlege that I have read this application and state that the in(ormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee A euiiding Permit is issued to: GERAW Z' KOLKIND on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. I Building OffiCial CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Est. Value $1.0V Date An l 17721 19 90 OFFICE USE ONLY Occupancy - FEES Zoning _ (Actual) Const - BIdg.Permil 25'00 (Allowahle) - 5urcharge • so # of Stories Lenglh PlanReview Depth SAG Ciry S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System _ City Water _ Acct. Deposil PRV Required _ SMI Permit 8ooster Pump - gM/ Surcharge Treatment PI APPROVALS Road Unit Pianner - park Ded. Council 1.00 BIdg.Off. _ Copies 26.50 Variance - TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING. H.V.A.C. ELECTRIC Inspection Date Insp. Comments Foolings I Foundation Framing Ropfing Rough Pltig. Rough Htg. Isul. Freplace Fnal Htg. Final Plbg. Const. Meter Plbg. Inspecfor - Notify Plumher Engr./Plan Bldg. Final Oeck Fig- Deck Rnal Well Pr. Disp. CITY OF EAGAN 13830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 13059 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used to? SF OwC/VAR Est. Value $64,000 Date DECEPiBER 30 . 19F36 SiteAddress 3539 COACHMAN Ra Erect IN Occupancy R3 Lot 17 Block 1 Sec/Sub. HAMPTON HTS fiemodel ? Zoning A1 Parcel No. Repair ? Type of Const VN Addition ? No. Stories a Name Fi20A1TIFR COMPANIE3 Move ? Length 40 3 Address 3908 S I BLEY MEM HW'Y Demolish t l ? ? Depth t S d 7 ° FAG Ci AI? P 454-0433 h lmpr. n ? q.F ry one Install c .o < ?Q ? Address City Phone a F W ? Name Zz-y Address i W City Phone I hereby aCknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of A Bullding Permit is iSSU@d to: r nviv a i. rn %.vru- all work shall be done in accordance with all applicable State Building Official Water & Sew. Surcharge 32.00 Police Plan Review 162 . 50 Fire SAC 575.00 Eng. Water Conn. 500.00 Planner Water Meter 63 . 50 , Council Road Unit 290.00 ' Bldg. Off. 2 29 T8 i Tr. PI. 156.00 APC Parks ? Var. Date Copie + 00 . Total on the expresa condifian that Statutes and City of Eagan Ordinances. PermN No. Pam?N Holder Date TelephoM # Plumbinq H.V.A.C. ?d- ? '?ti.•?? `? 8" Elsctric SoRbnw IrsopecUa+ Oats Insp. Communts Footlnqs I 41Z, Foatlnysll Foundatbn Framiny y p Roofin9 Rouyh Plby. y`1-97 Aj? $7 Rouyh Mty. ? Insul. V ? Fkeplam Flnal Htp. Flnal Plby. ? Bldp. Fhal Cort.Oec. ? Drck Fty. Dsck Frmp. WNI Pr. DNp. PERMIT # _ PLUM81NCi PERMIT RECEIPT # Y CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE 4544100 Site Addyess ? J ; C) /'" ?/L/ BLDG. TYPE WORK DESCRIPTION Lot ? Block Sec/Sub . f ? ? V/ - 7 /V Res. New ?' m Name Mult Add-on ? Address -r C' Comm. Repair ` c City Lf_' A Phone 52 Other Name NQ. FIX?.TI?U//R?ES OTAL ? W8t8r /'? lOS? ' ? L c Address - $ 5, i 1; ' ry1 Crn /I ?U V ??a•W Tgath Tubs -$3.00 :, C C ? C?y Phone T Lavatory - $3.00 " Shower - $3.00 -? FEES Kitchen Sink - $3.00 , ??' ?_ COMM/IND FEE - 146 OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10 00 Urinal/Bidet - $3.00 ??undry Tray -$3.OD L ` • Floor Drains -$1.50 , MINIMUM - COMM/IND FEE - 20•00 =yater Heater - $1.50 5- STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES TGas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 i , „rPrivate Disp. - $10.00 e Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE x`f ? STATE S/C: G OT ` ? FOR CITY OF EAGAN GRAND T AL: - ' PERMIT # - MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAM, MN 55121 DATE: ?7 CONTRACT PRICE? lb(?0 . UO PHONE 4548100 Site Address °achn`'`' BLDG. TYPE WORK DESCRIPTION Lot 1 ' Block - Sec/Sub WGN Z3?? Res. New, _CP.A;?: CA? "'? Name •",. ?o Address 3600 ?:t:njleb?t: i),-ivt- Mult Add-on c Ciry Exgat' Phone 52-1565 ?? - Repair - Name _ c Address O CitY - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other Phone 2i0,00U MBTU M BTU M BTU M BTU CFM FEE SIC: TOTAL• 25. % II $'1b.UU II FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS DUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMMIIND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN m ' OF EAGAN SEWER SERVICE PERMIT I PNo1 Knob Road Box 21199 PERMIT NO.: P?' vY in, MN 55121 DATE: ng: ?rontier Midwest No. of Units: 1 Addre-,s: to comply wNh the City ot Eagan By Oate af 4nsp.: Insp.: ? Cannection Charge: +7 5?t?t7nd s Account Deposit: -Lp• tiund Permit Fee; 10, QQpd Surcharge: • ?!?n?? Misc. Charges: Tota4: Date Paid: :?,?r t 1 t.='?-: ?. "s?s - ? r I ?f? - ` CITY OF EAGAN 4p , ?,?s? • :?;ile.?.i;i?'v:;f' - , WATER SERVICE PERMIT 3630 PkM Knob Road ` 8333 P.C. Box 21199 PERMIT NO.: Eagan, MN 55121 -L-< pATE: ' Zoning: r1 No. of Units: 1. I Owner. Front ier Midwest Address: SiteAddess: 3534 Coachman Road 1 Ilam ton Hefghts Plumber: Star Plumb Meter No.: 376 (?.5,6 . 4?"q"0i1vr9e' 500.00pd ' S'rxe: B Ofe =Ig '..? ?ount+Cd?posit: 1 S. OQpd I agree to comply wlth th"'? `"- Q? oft DS#Ifard-M.Y - "'pu Ordinances. Misc. Charges: 156. O0pd TP 7VIP1. "1 l0pd mpC?S By Date Paid: Date oi Insp.: -3 Insp.: J .- . ,. . . ' , :.. . , •? ?; . `% ' f .? ? '?,-. ?-,..?-ownER: S I T'E ADDRESS : Total exposed wall ai-ca al,ave floor=_ 19 „U„ 1 l,U„ je-n liu., ? Total exposed foundation ai-ea= (f-, ?5 NQ CONTRACTOR: Determine working square footlge of each 1. Total exposed wall area..... sq. Ft. x.11 = 2. Total raaf/ceiling area..... ? sc;. ft. x .026 =_ a. Total wall window area ............. b. Total door area ....................'............................. c• Total sliding glass door arc?z.,..,,, ????????????????? """' " d. Total fireplace ?rall ai-ea .......... ............................. e. Total wall framing area (average lOfi) . . . . . . . . . . " f. Total rim joist area. ........................ .. 9• net wa1 ] area above floor. . I . . . . . . ""' h• wall area above floor....,. i• wall area above floor..... j frame wall area art foundation ...................._... k. Total foundation windaw area, 1. Total net foundation area above grade ............. -?------ ?^ ? t'ti[lHE : Determine "u" value of each wall segment (e,g. window, door, each separate vrail section) a. 1 Z.S x b. X c . 4 ?.- x d X e. ( C1,(,z4 S x ?.U. f. f -2Ca K 9• i ?? ? ?0;?2' x ??U" h. i. .J • r.. X "U" X "U" x x 1. ? X 3 ' C)5 ? ? ?- ..., , . 03 Is u?, _ „u„ .................................Total = gj? EXTERIOR CNVELOF'C nvr.rtnrr roME'ilTnrr nnrr: If item #3 is the'sarc as , or 1 ess than -`i teR #1, you have met,.tF4e", inCent af SBC..600??(c ?,.. !? ?'..?•t. .:H?? ,?, , CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # . . PHONE: (612) 454-8100 RECEIPT # O w??`l??PA?;>:?'?I??? DATE : ? / WORK DESCRIPTIQN C4NST ? ON kIR DWELLINGS & OWNER NAME: ? SITE ADDRESS: T)GQ\ .. - r LOT:BLOCK ? SUBD. t? INSTALLER: ?7L?j"\ `t C?? FEES ADD-ON MINIMUM 15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ / (' ( r ' STATE SURCHARGE: .50 TOTAL : $ c ' L?C-l OF PERMITTEE CITY ZI P : i j a /9l l??:Gs? PLEASE COMPLETE THIS P4RTIdN FOR ALL COMMERCIALfINDUSTRIAL BUILllINGS, ::..:.... :.:. .. .........::.. ,....: .:. :.. APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPAR.ATE PERMITS ARE NOT REQUIRED F4R EACH DWELLING UNIT. ----------------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: I,nT_: BLQCK SUBD. INSTALLER: ADDRESS: CITY: PHONE # PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ] TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ? ZIP: FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1$ STATE SURCHARGE $ TOTAL: (SIGNATURE) FOR: CITY OF EAGAN BLDG. PERMIT N(7. , • ' ?'7` 01-32103SB,?'`g, ?e m 0I-3422 Plan Check 01-3445 Surch./Adm 01-3446 SAG/Adm. ? 0I-2155 Surcharge 17-3$60 20-2275 20-3865 20-3868 zo-37i6 20-2252 20-3713 20-3743 79-3866 11-3855 I ? CASH RECEIPT - CITY OF EAGAN ? 3830 PILOT KNOB ROAD ? ? EAGAN, MINNESOTA 55122 ? I i ! DATE 19 i ? wECervsp FROM ? AMOUNT $ I > & OOLLARS ,oo ? CASH ? CHECK i . r Road Unit SAC Water Conn Water Trmt, Water Metei Acct, Dep. Water Permi Sewer Permj Sewer Conn. Park Ded. TOTAL Thank You BY ? White-Payers Copy Yellow-Posting Copy Pink-File Copy a ? 1 ?1 tIIING?PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PIANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS MfTl.TIPLE DWELLINGS PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS I5SUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: ?,ASF? L°P--'T Valuation;J? ::7 9"&? Date: 9//a'/ q f Site Address -7?-3 Lot 1 -7 Block ? COA cM e?fi r? izg, Parcel/Sub I-?P MP r?r/ 14T S / ST" Owner & E`L.R c-n 40 L/G / N D ? Address .417 City/Zip Code ?? v?? sS i2 '7-_ Phone y S Z- 7 s O Contractor r`? 1fl Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Sewer/Water Licensed Contr COPSrIERCIAL OFFICE IISE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit 5/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies 35, a' vn 150 SOBTOTAL Penalty Lot Change TOTAL .OD APPROVALS Planner Council Bldg. Off. Variance agrees that all woxk shall be done in accordance with /? (Signaturteof Contractor) ?-\C+d • $/.O O GW r' £Pr1 r ? all applicable Stilte of Minnesota Statutes and City of Eagan Ordinances. 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS ' CITY OF EAGAN No .19701 i , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 /// ? PHONE:454-8100 i BUILDING PERMIT Receipt # To he used tor BASEMENT FINISH Est. Value n?m SEP 18 19? Site Address 3534 COACHMAN RD ? Lot 17 Block 1 SeGSub. HAMPTON HEIGHTS I Parcel No. 1ST W Name GERALD KOLKIND ? Address 3534 COACHMAN RD City EAGAN Phone 452-7504 o Name 5? ?¢ Address ? City Phone ? ww Name Address <W Ciry Phone I hereby acknowlege thal I have read this applicauon and state that Ihe information is correct and agree to comply with all applicahle State oi Minnesota Statutes and Cit an Ofdin?nces? J " Signature of Permitea ?'' ? A Building Permit is issued ro: GERALD KOLKIND on the express condinon thal all work shall be done in accordance wnh all applicable Staie ol Mmnesota Statutes an?d.yC?it?y of Eagan Ordmances. Buddmg Ofhcial '.?? 1oWI?? fleiti ? Occupancy Zoning (Actual) Const (Allowable) # of Stones Length DeDlh S.F. Total S.F. Pootprims On Site Sewage On Si1e Well MWCC Syslem Ciry Water PRV Requrted BDDSter Pump APPHOVALS PWnnrer Council Bltlg. Off. Variance OFFfCE USE ONLV 81dg. Permit Surcharge plan Rewew SAC, City SAC,MCWCC Water Conn Water MBter Acct. Depasit SiW Permit S/W Sumharqe Treatment PI Road Untl Park Dad copies TOTAL FEES 35.00 S/1 .50 ? 3fi.00 ? RE5IDEIIITIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55132 651-681-4675 New Construction Reauiramanta • 3 registeretl sde surveys showing sq. ft of lot, sq ft of house: aiW all roofed areas (20°'o maximum lot cove2ge allowed) • 2 copies of plan showirg beam 8 window sizes; poured faund desgn, etc ) . i set of Energy Calculations . 3 copies of Tree Preservalion Poan d lot platted after 711193 • Rim Jaist DetaA Ophons seleCtlon sheet (bidgs with 3 or less umLs) DATE ??? , D?i SITE ADDRES TYPE OF Wp ULTI-FAMILYBLDG _Y _N FIREPLACE(S) _ 0 - 1 _ 2 APPLICANT I ? SiREEi ADDRESS I Renewal By Andersen, Inc. 4134' CELL p? 1920 Connty Road "C" West TELEPHONE #(,Al•o{+ Rosevilie, MN 55113 PROPERTYOWNER7 f(/ rELEPHONE#Zcz574/6a- „ COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINvESOT., RC;LES 7670 C,ITECORY I (J submisswn type) • Residential Ventilahon Category 1 Worksheet Submmed • Energy Envelope Calculations Su6mitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mcctianical system includcs: Sewer/Wnter Contwctor. _ Air Condiuoning Hcat Rccovcn Svsteai Phone # Phone # Fee: $90.00 , ?- - ---. _ _ - - Fcc: 670.00 ---------------------------------------------°------------•------...._._...------°----°----------------•----------°--- I hereby acknowledge that I have read this appiication, state that the i formation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or inances. Signature af Applic f OFFICE U5E ONLY _ `Vauer Softener Water Heater No. of Baths _ Phone # Lativn Spnnkler `o. of R.I. Baths ? 15--?. .i RemodellReoair Ranurtements . 2 :opies of pian • 1 set of Energy Calculatlons for heated addNons . 1 site survey for extenor adaitions 8 decks . Intlicate iF home served 6y sephc system foradditiars VALUATION -7 +'clO • D? _STATE ZIP MIVVL50'C:1 RliLL•"S 7672 • New Energy Code WorkshefltSu6n ?"?r$tP o 3 2002 II; Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated JI02 SSo? ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Renuirements • 3 registered sde surveys showing sq. ft. u11oC sq, ft of house, and all roofea areas (20°b mmimum lot coverage allowed) . 2 copies ol plan sfrowing 6eam 8 wintlow s¢es, poured found desgn, etc.) • 1 set of Ener9y Calcuiations • 3 copies of Tree Preservatron Plan J lot platted after 111193 . Rim Joist OeWil Ophans selectlon sheet (bldgs with 3 or less units) DATE SEP 0 9 2002 SITE ADDRESS 3 S3 ?O V'!L Yl M 4 /,J MULTI-FAMILY BLDG _ Y V N TYPE OF WORK?a? 'P ? FIREPLACE(5) _ 0 _ 1_ 2 APPLiCANT -k- i RemodellReuair Reuuiraments j • 2 copies o( plan • 1 set of Energy CalculaM1ans for heated additrons • 1 siM survey for extenor additwns & decks • Indicate rf home served 6y seplic system for addihere VALUATION STREETADDRE55 7U ?`( \'T7? S4 CITY 62? STATElMd ZIP SY'dT2 `? _ PA # ?? ? ? TELEPHONE # 6? 7- Y6Z-6LZf CELL PHONE # ?.5/- 7 7J "S PROPERTYOWNER C1EY9 Ic? ?[-d I KtAJ Ct TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ?M[\'\'1:50'f.\ RC'I.ES 7670 C:11fk:GORY 1 (J submission type) • Residential Venhlatlon Category 1 Worksheet Submilted . Energy Envelope Calculations Su6mitted Plumbing Contractor: Plumbing system includcs: Mechanical Contractor: N[cch.micsil ,vstcm indudcs Sewer/Water Contractor: Water Soltener _ Water Heater ? tio. of Badu Alf COfldIUOIllOa Hcat Rccovcry Systcnl I hereby acknowVedge that I have read this application, state ihat with all applicable State of Minnesota Statutes and City of Eagan Signature of OFFICE USE ONLY PllOt1C # ?l I.a?m 5prinl:lcr ` No. oF R.I. Baths Phone # Phone # is 5? I? ?) i Fee: $90.00 P'ce: $70.00 Certrficates of Survey Received - Tree Preservation Plan Recerved _ Not Required _ Updated a/02 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN 1'? 21 SINGLE FAMILY DWELLINGS q MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS 9F PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET DF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQIIESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED, NOTE: ADDRESSES FOR CORNER LOTS - CONTRAGTQR/HOMEOWNER MUST DESIGNATE WHICH ADDF.ESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Deck Valuation: $??-" Date Site Address 3534 Coachman Rd. Lot 17 Block 1 Parcel/Sub Hampton Heights f pwner Gerald L. Kolkind Address 3534 Coachman Rd. City/Zip Code Eagan MN. 55122 Phone 452-7504 Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # 4/16/90 j OFFICE USE Y FEES 'Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well , MWCG System ? City water _ PRV _ Booster Pump , APPROVALS Planner _ Council Bldg. Off. Variance Bldg. Permit ?5, vo Surcharge s`o Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies ? SUBTOTAL Penalty TOTAL ?? CITY OF EAGAN Np 1772 1 3830 Pilot Kno6 Road, P.O. Box 21-799, Eagan MN 55121 - BUILDING PERMIT PHONE: asa , -siao ? ? h ? Receipt # - ? - • J r Tobeusedfor DECK Est.Value $1,000 Date APR 16 , ?g 90 Site Address 3534 COACHMAN RD Lot 17 Block 1 SeclSub.HAMpTON HTS iST OFFiCE USE oNLY PBfCBI N0. Occupancy _ FEFS i Name CERAT D L KOLKIND Zoning (acwaq Const _ aldg. permrt 25.00 3 Address 3534 COACHAit1N RD p City EAGAN Phone 452-7504 (Allowa6le) # olStories _ Surchar e 9 .5? Q o Name SAME Length 1? _ Plan Rewew i $? Address Depth 14' SAQ Cit Y 5 P 7otal _ ? Cliy PhOn2 S.F Foolprinis SAC, MCWCC ?? Nam On S[e Sewage _ Water Conn ?y W e O S W F ? ? Addf2SS n ite ell - WaterMeter Qi CitY - Phone MWCCSystem ciry waiar _ _ Acct. oeposit I here6y acknowlege [hat I have read this ap lic ti d PRV Reqwred _ SIVY Permtt p a on an state Ihat ihe iniormaLOn is conect and agrea to comply with all apphcable Sta1e of Booster Pump SNJ Sureharge Mmneso[a Statutes and Q an ncgggggg ? Treatment PI Signature ot Permtle / ? L? APPROVALS Road Unit A eudding Pefmit is issued to. GERALD L KOLKIND Planner - on tha eapress condilion that all work shall be done in accordance wrth all apphcable S[ate of Minnesota Statute d C Counal park Ded s an ity of Eagan Ordinances / 01dgAft Co Pies 1.00 Buildmg pNidal Variance - TOTAL _ 26.50 ? s Tl? ? ? 1986 HOII,DING PERMIT APPLICATIO - CITY OF E6GAN .,? NOTSs AI.L CANTRACTOES M[1ST BE LICENSSD {iITH THS CITY OF EAGAB ? COMRfERCIAL SINGLE FAMIILY DiiBLLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRIICTURAL PLANS, 7 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS- ? $2,000 LANDSCAPE BOND AWDate: To Be Used F lua ion:? 10Z3 -, 0 Site Address , OFFICE IISB ONLY Lot _L ? H1 Pareel/Sub d? Owner &4-C Tl- i Address ?)72 City/Zip Code Phone z&92. Erect Oecupancy -e-3 Remodel Zoning ?Y/?7 Repair _ Type of Const ??J Addition # of Stories Move Length ?f0 Demolish ? Depth ? Int.Impr. Sq Ft Install 7 ------- APPROVAIS FSFS Contractor _ Assessments Permit ?ZS DD r. 771 ??. ?,v:?::rrv ?ico Bl E Water/Sewer Sureharge .3 Z°`? - dg. Address 390E Sibley hlemoriai highv?al? - police Plan Review 7?5-? 9AP + 1 , .,Fire SAC 5 73 °O City/Zip Code' ,.Engr Water Conn S?'s Planner Water Meter ?3 so Phone G/ `? CJ Council Road Unit Z 90 40 Bldg Off iz -z - Treatment Pl Areh./En APC Parks Varianee Copies 9ddress T(1TgI, o City/Zip Phone # NOTE: ADDRESS&S F08 CORASR ADDR&SS IS DfiSIRED. IS ISSIIED; I IATS - CANTEACfOR/HOMEOSiNEH Ht13T DESIGNATE LIHICH NO CH9NGfiS SiILL BE ALLOfiBD ONCE BDILDING PEHHIT e CITY OF EAGAN i 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N p_ 13059 . PERMIT PHONE: 454-8100 Receipt # ? y k . BUILDING 7o be used ror SF DWG/GAR Est value $ 64 ,0 00 Date DECEMBER 30 , 1g 8 6 3534 COACHMAN RD Erect Occupancy R3 SiteAddress 17 1 HAMPTON b S GS HTS Remodel ? Zoning R 1 Lot Block . e u Repair ? Type of Const - Parcel No. Addition ? No. Stories 4 ? W Name FRONTIER COMPANIES Move ? Demolish ? Length oepih a? i o Address 3908 SIBLEY MEM HWY Int. Impr. ? Sq. Ft. ?,ty EAGAN phone 454-0433 Instsll ? Approvals Fees o Name SAME $ 325.00 0e Address Assessment Permit 32.00 ? Ciry Phone Water 8 Se w. Surcharge 1(Z.SQ Police PlanReview Fa Fire SAC 575.00 Fw s a Name Add Eng Water Conn. 500.00 a w ress C,ry pnone . Planner Water Meter 63 . 50 290 00 Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Of information is correct and agree to comply with all applicable State of APC- Minnesota Statutes and Ciry of Eagan Ordinance . Road Unit • Tc Pl. 156.00 Parks Var. Date Copie z,1 4. 00 Signature of Permittee ?? -- I Total A euilding Permrt is issued to: ' RONTIER COMPANIES- on the express condition that all work shall be done in accordance with all applic e State of inn tatutes and Gity of Eagan Ordinances. Buildin9 OHicial K .y-?'F?:c{!rior rnvclopo Avcrnge "U" ComJ'uCnl:ioit Pnqn 2 of 9 : ToCsl exposed roof/cciling arcA =_) df ([7 m. 7btu1 sl:yli.gllt area ............................ .- n. Total root•/cciling framing area (nverzye 102)... ? OI?(.0 o. Tohal ne[ insulated roof/cciling area........... d4 . Determine "U" value for eaGi roof/cciling segment M. x "Ul. n• _1 O(•?O a ?v? QZ --- ?• L} 9 o. ?_ x ?,U-- 4 ........................... Tot-dl = ?.7? If total of ;,q is the same as, or less t:hai 112, you hckve mel the int•enC oP SttC 6006 (c) 1. A2ternate Buildinq Envcl.one Desiqn 'ib utilize the total envelope 'system method, the values estzblished by tlze s:um of it-ems 93 and i;4 shall not be 9reater than the sum of items 1t1 and if2. l. 21 (0, o9 +2. _ 7-(0. 41 = 2-4Z, s 3. _1(ns, Lb`? + 4. Zv,73 =1 dCo4tR _ ? MINNESOTA STATE BOAPO OF ELECTFICITV Griggs-Midway Bitlg. - Noom 5-193 1821 Umvemtly Ave . St Paul. MN 55100 PhOne (612) 642-0800 , nI , __-- BE ACCEPTED 8Y THE S1ATE 60ARD UNLESS PftDPER INSPECTION FEE IS, ENGLOSED REQUEST FOR ELECTRICAL INSPECTION ?Y0- See msvucuons lor compleling ths form an back ot yellow copy ?? n A 7 ""X" 8elow Work Covered by This Re? kl+ 4 f^ . Heater Comm ? ?Ot?er (meaAyl Compute Inspechon Fee Below' ? Other Fee Special Inspection Alarm/Communication I Other Fee I the Electncal Inspector hereby cerhiy that the above mspechon has 6een ma(Je OFFICE IlSE ONLY Tms request void 10 months Imm •='"`9`? ee-oaom -oa Electnc Service ontr?actors Femarks Fee # Circurts/Feeders Fee # ServiceEnlranceSrze 0 ro 200 Amps 0[0 100 Amps Above 200 _ Amps Above 100 _ Amps TOTAL ispecmrs llse Only J :o THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT rnnnoi F7FI) WITHIN 18 MONTHS. ". U:-rj91-1110q vn11 nrc? Iu r ruci Iun ? pI?, aJ TOPV IfSi OF . FIlN 4: IJAf.f. . v . _-? C1C. 112 '- ? 4'1 ?-- -,- • ?/ '_ U P - --? ? .. ? ??. ,:u;.cu :-:. . A ??? ----•----(? ?a , ----?---- . ? U ? 1_fi?nJC : - ? r .,, • ? ?_ .- --? --'l -? ? . . . , .1• ? ,. <,,.??- t : ??? • ?,.?? '• Y?`.'.- ?• ? t???? i?, •. ..?; ? ,,. i a . _?y t++ err?r L. };elor?i,r .ii? ii:•?? Vnlv.• m41b . . .g.g 4•3? 7. Q0 . - _!6 I ? u.l7 ?i•?i,?l 13. Ll 4. !°J.._. . . s. qwm. ,_ .St?asA-lg . ......... .. . . .t.f01 'Pu L(l1 9 !. ? 1 c.. { z. ?l????n _..--- ---......._._?_?? 5. E?.4.s.tit??..9?.lVLN(.?---•-~ ---'-f?I -?---- -------- --- - -----?- ??• ? ? 3?.oc-Ft, u : . o's 1. inc?•?;•?[ nl? (il?.? O.Gn .. . - - - --"- - ..' ?'----- --. _._.. .-- -' --'°-- z •----- n. . PL'•?tTSa!n?G,. .kia+c4£P.t?P... _ ..._....._.. G. I::clrrii•i' .??r : i!n 0_1?1 Toi.,l - Cm. 7 st.nn cirl '` _...: . _;.. , /!I Y • . F1G. IlA !/1 S IS . • • '? ? i ? .. ?,x • ? 6 J /17? IinTC: ?rdl?:atc ly".:, ":t" 4roth nnct qf ili:kl? dLir)fl. C. ,3 r ?- ? • - - • + ' ?.---•-r (_' /5 54j'?" t o0 ?3389 p ?,/?, 8/ Requast Dace . Frte N. Rougmin Inspedion Reqwred? l Reatly Now ill Nohfy Inspador ' es C No When Reaoy + I= licensed contractor owner hereby request mspection ot above electncal work at. a, o. o, Aoa Joe ie, ??tv 3 3 D4C Sedion No Townshe Name or No Fange No County OccopantiPRINT) ?G?-a(c? ?o K?' ? Phone No - Power Sopoiier Atltlress Elemncai Gontmcm• (COmpany Name) Contactors Lmanse No 1rlEv w0Fr Madinq Atl0'ess IConIrdCPor Or Owner Making InSellaLOnl bv l? Awnorrze ontiac?orOwner aking ?sl e?enon -? Pnone Number . 7 s o y ? ? n ? MINNESOTA STATE 80ARD OF ELECTHICITY Griggs-MiCwaY BIEg. - floom S-173 1811 University Ave St Paul. MN 55104 Phone (612) 642-0900 iH15 WSPECTION REQUEST WILL NOT BE AGCEPTEO BY THE STATE 80ARD UNLE55 PROPER INSPECTION FEE IS ENCLOSED C$/(d/ REQUEST FOR ELECTRICAL INSPECTION Aee-oaooi-oe ? ji, See insimctions lor compietmy Ihis brm on back ol yeilow copy ? n Z"? Q Q _ "X-' Below Work Covered by Thrs Request •?,? ew Atltl Fep c? TypeofBwlding ApphancesWired EqmpmenlWired Home Panqe Temporary Serwce Duple. Water Heater Electric Heahng APl Butlding Dryer Other (Spectly) Comm.ilntlustnal Furnace Farm Av Condihoner Otner(sVeaN) Contracrors Ae Compufe Inspection Fee Below: # Olher Fee # Service Entrance5¢e Fee # CvcuM1SiFeeders Fee Swimmmg Pool ? 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps DO _ Amps $Igns Inspecmr§ Use Onty ?? ?? T? ? Irriganon Booms D Speaal Inspechon AlarmiCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby Ro°9ni° l cerhfy that the above inspecnon has been made. F,,,ai i ? OFFICE USE ONLY ? Tns reyues: voic 18 months fmm • r.oor/c?iLZ:?c Construction A-Valtic ?? /.IU11l?IL?-:^,1111?inni?i?r•iii• ?- _ ?; 1 z s;.ed Hea[ flaW ? ric. 05 .' . 2. Intcrior air filn 0.61 2. 8" (-1-f 3• 1W5OL. • 44.00 Extcrior air fi2n (sti11) 0. - Tot? 2 4s8o - . : .. % . . ?? .o? .. F?•K ` . 1. Interior nir film 0.61 2. 3. ? ? r?suL 38.3s' 4. F:xtetior ?Iir f.iln (s[i.11GT Toeat 2 . 9o.1S U - . oZq.. CO.t, 77rT?!T/ Insidc air filin 0.61 2. - . 3- _ . ' 4. ?• 5. Outsidc c!ir filca 0.17 Tota1 F'.C•4.•r E ? • • . . • s Y.ccc flov up • , . =•ventcd - . _FSG. A6. . _. • ?. ' ... . ' : -3 9 O5 . . • a ? ??.I'_t : ?'°?'s? , ' -???._..c,?:';'.-r; •':.:.'.%?:? ?;? ?=.:?--,r"''?•,•:.:,-;.':.;:? ? v ' ? ' '..?''.•? . • ` HUI-YI'2.'i? .? , - ? ', • fJ.ov c:p ? - . , . • .. _ ' xI ,_ ?1+7 . '?. a. Znsidc aLr Eilin 0:51 2_ . 3_ ' . 4. 5. outsidc air Ei1cn 0.17 , Total • Ynsidc air Pilm • 0.61 2_ . ?- - . 4. R,t;1dc ait fiLn 0.17 ? . ToWl . . YCatc_ Use additional sheets if morc rpaco i: neeclecl for details and ealeu?ativns. . ? : Thrs repuest void 18 momhs from C ? 84651Li-7. L .2r Date v nsed Electncal Contractor ? Owner igh-in lnsoecLOn ?ufre C]Ready Nuw L14r1'rN0tify Inspec- es ?No tor When Re dy I hereby request inspec[ion ol eboae REQUEST FOR ELECTRICAL INSPECTION ea-ooaoi-os 1 Sae instruetions tor camDleting thig }orm on beck of yellow co q ? PY. /?J S "X" 8e/ow Work Covered byThis Request ioBe-MiOweV Bldp. - floom N-191 •' "" •••" •Orcu iiurv qEQUEST WILL NOT -' ° 1821 Univeraitv Ave.. St. Peul. MN HE ACCEPTED BV TH 6610A E STATE BOAND Phone (612) 642-0800 UNLESS PPOPER INSPECTION FEE IS ENCLOSED. 1 t ?! ? + 1 1 ?111 ATCA rOi' Ti u,:n,l,y .of t i,a IUR W coinjtrvct.Iun •?. ?: ' LI?'1 _!1I I I SIC FIL'. . M1 I .. ' lriral A-11.CI1 i ? ---_--{?, ------01 .?- j;?... RE. _.$LOGK gi" Mlr{ _ . . _I ?.U :.Y ,'•.` ?:?f:?!?:?i;.? ,., ~??.r•'Y?1 '.`."?S , . ?.t _ . .1li r lilm ._ ... V'1.1 . ? ?.: _ ..._ ?iOLo 1? _. _ .. Z•75 .. ' . 7nCrrlnr iir : i lin (},btl . ? -'.•; . _. ? ;.. E>;CCrior aii' r..-•- Cili.i..._..._._._... ---•-• ,1'ulZIl- ------- :.c a,?r ,,i a . ? % r}z l ? . f y: : ,, lnt.eriur air --- Cilm 0.?,.`t - -- . . .. _.;. -• -----?- --__.. . .-•------- ._.. .._.. -•----- -•._.. - --.?__._ , ;:,:;? ;',;,:.;:.::.`?i? };xtcrlor nir fifm-•----•--.-0.1.7'? 'COf:tl . "sc;s:.':cr,ac n.Gn ...._.._.__ . - -•---- x?.?r.. , ,.. •----- •-------.-.-....._._. , .. .i'1 . ?. - .. . ... .. ?.?._ ' ,..1?... -.?a..?.?f'"}?i Lo< ._ ? .. -r'e.:_ . .....i . ?. _?.... . ....._ '. .?...._...??... .. r ... ... .^aiV - --?-'-------?-°-- -----------•--•'----'-- • 1::<lci')t?C Iir I I !n .?._--..+..----•--'- °---?I'ul.i1 ---- ' ...., Ccm_liiir t i<m 1. G. :. 2. 3. 4. 5. G. 1. 2. 1. 4. 5. 6. 1. 2. ?. 1. 5. G. 51.All Ohl 411Allh: i ; ?. . ? • 1,3 ?: ?.,.' ?u ,,'.411 ?' b ?-. • ,-.?y !1.6'1 •-.i?;??^'' 1?. _ c.. ••'-:.??? ?r? ? TGl'Y I f14 OF + °:WtE WALI,' ,_ , ?11 --__ ^ ` .. ?s.:. •. /1 f ? : " • ' '? ? i Fic. fin ?r? s. • :> ? : ? ?"' , , iir =..r.i TI-I . _ Itu1'C: ]r,dl cnU: lyI,c , "R" va;ue, ?ciiCli?anc'I ? : ' pla•_ rn??it oC irr:nl.it:ion. . . . ? . . ... . . PLAQ ? LirvE4L FT. 2XposED W,4LL 30 , PULL? ?T o TZ1 M = ! 1 '?o? r=K-i??oSeD WA LL ,4ZEA t3La?s?:', GS x , S = 3 Z??5 ?N EE ; 1. 3o X 5 = 6rw v 1::uc.L E3 - ?to9 ' 42? y- I = l30 ?-o-t-A L. _ . I y(oq, 5 2.4/3G JLs (a = , ! 7 - . •- F-KaoSE--D GEI LtcJq ? 3? Zs t4(44 = 4 ? z7 ! Z.5 ? tvlto Doo?S ? , ATl o DP.S P ? Z _. . _. F35 M'+ U ? ?+?--?..,.? . - :, CITY OF EAGAN APPLICATION FOR PERMIT SEWER ANO/OR WATER CONNECTION * xxxxsxx:rxxxxxxxxzz:r:xx:x:. * NOTT: PAYMF.Nf OF FkE AT TIME OF ; ArrtscAMorr noFS Nom COrsTnVM ; ArPxovAw oF rEarUr. ? * INSPDCTION OF SES+M ADID/OR FATFR ? TWrnr.ramrpNS WILL ? ? ?ED- ** [II.Fa UATP]I, POUaT AAS BFEN * APPRt7VFD. 1) PROPERTY A?DRESS: LEGAL DESCRIPTION: _T 0 IF E7QSTING SIRCCIURE, DATE OF ORIGINAL B[.'ILDING PERI•]IT ISS(:ANCE: . PRFSENP ZONING/PROPOSID C'SE: F) CObY4MCIAL/kEtAIL/OF'F'ICE r-7 INDPSTRIAL n INSTITUTIONAL/GOVEF2DA7EN2' ? R-1 SINGLE FAMILY Q R-2 DLiPLEX (it.,p Onits) ? R-3 7UWNEiOLiSE (Three + Units) ( Uni.ts) ? R-4 APARTMENT/CODIDOMIT7ILT1 ( Units) 2) D1AI%E: FRONTIER MIDWEST HOMES CORPORATION ?DRES5= 3908 Sibley Memorial Highway Bldg. E CZT1'. STATE. ZIP: Eagan, MN. 55122 PHONE: 454-0433 • 3) u c?• -- NF1ME: STAR PLUMSING ADDRFSS: 1018 Mound Springs Terrace i CITY, STATE, ZIP: Eloomington, MN. 55420 PHONE: 884-4149 MASTER LICENSE# 3329 rliunoers i,icense: Active ExPir? Not recorded St?a f-7nitial 4) m•• N.I?NIE: ADDRESS: CIT"l. STATE, ZIP: PFiONE: 5) ? ? v ? r. • ?• : ? • y? - a?? ?C CONNSTION TU CITY SEWER ? CpNMDCTION TO CITY WATER Q 0'!'HER 6) i? r• ?• i• ? Pr.FnSR gpyp ppPROVF9 PERNIIT FOR PICK-L?P BY ONE OF ABOVE P MAIL APPRpVID PERNIIT 10 1. 2. 3. 4, AB(3?VE ? -f- (Circle one) FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ S-2D $ $ 70 $ $ $ $ $ $ $ $ / `v'` ' (JZ7 $ $ $ $ $ $ ? ?S• Cs-? $ $ $ $ $ $ $ $ $ $ $ SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLL'DE SL'RCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLC'DE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOONT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRONK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRLNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: $ $ TOTAL 6 RECEIPT RECEIPT DOES UTILITY CO[VNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL?BLIC ROADWAY" MUST BE ISSLED BY THE ENGINEERING ? NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED, BY: TITLE: DATE: . i ,. SIOMA I"40' SUIaVEY1N0 SEFiVICEB 3908 Sibley Memorial Highway Eagan. Minnesota 55122 Phone: (612) 452•3077 30 3 0 00 T ' ?y 0 L MN J ? rd v o ?a u House Certificate For: & NOME BVIlOEHB Mok LM+O DEVEIOPERS 006 , iIEAlTOH9 m Nel: STAFFoRO L i:?'C i "+ WAYNE D. CORDES - 14675 - -LEGEND " O Denotes lrcn Morwmenf m Denotes Woai Hub Set x $65.0 Denotes Ettistirg Spof Elevation („Zry Denotes Proposed Spot Elevation '.?Qerwtes Drainage Oirectian -PROPEHIY DESCfi1PT10N- LOT11BLCCK I w. mo-rno UF ICaL1T2 according to fhe reca'ded plat thereof, County. Mlnnesata PROP05E0 6ARA6E PI.OOR ELEVAl10N= S?O510 PAOPOSED Top of 81ock ELEVATIONe S b5,3 PROPOSED BASEMENT FLOOR £LEVATfONa ZNOTE: Verity all fioor he+ghts with Final House Plens• .SUA= CEI7TIFIC0Ip+I- 1 hereby certify fhafi this survey. Plan or report was p'epared by me or urder my direct supervrsion ard thaf I am a dulY Re4istgred La^d Surveyor urdB'D, the laws ot the State of llinnesota. " Oste: 6I 1o /86 Nayne D. Cordes. Ninn. Reg. No. 14675 10 MA SUAVEYINO SERVICEB 3908 Sibley Memorial Hiphway Eagan, Minnesota 55122 Phone: (612) 452•3077 hULI.E ? I"a4o' OL ? ?J ?o . 10 ?- ? ac? V O ?D v; 30 3 o Oe \ ` . O House Certificate For: WME euuocns W LAnDDEVEtOPERS qE/tLTOHB NTIER COMPANIE5 r? MJel'. STRFFORO ? . - -?• ? , i eV? ?Z8A01 i t i.o ',• i + ?? I ' Vl ?L1A E `? _ u 11?" 5M'f, ?4 .b65.0 ?16.,, I ?wT iT r_ ? 7 WAYNE D. CORDES - 14675 - -LEGEND - O Q.nctes Irm Max.erent 0 Denotes N'acd Hi,b Sefi x 865.0 Denotes Exisfirg Spot flevafion („y bHry Denotes Proposed Spot Elevation ?-Aenotes Drairwge Directim -PROPEKiY OESCR1PfIQN- LOT1-1,BLLrK 1 NAMPTON NEICaNTS accadirg to the reccrded plat thereof, Mimesota PROPOSED GARAGf FLDOR ELEYATION= S(o5.0 PAbPOSED Top of Block ELEVATfON- $ b5.3 PROP05E0 BASEMENT FLOOR ELEVATION- S!EZ• M?'1T£. Verify al/ flaor heights with Firo/ Nase Plarta. IFfCIITI I hereby tertify thet this sirvey, plan or reporf was prepsred by me or uder my direct supervisim ard thet ! am a du/y Regisfiered Lard Surveyor undB'b' fhe lews of the State af Yimesota. " Dste: 6r1o'B6 Wayne D. Cordes, Yrnn. Reg. No. 14575 Use BLUE or BLACK Ink For Office UseO I Permit ~ I City of Eapfl J/ X 55 I Permit Fee: 3830 Pilot Knob Road i I I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I i Fax: (651) 675-5694 I Staff: 2011 MECHANICAL PERMIT APPLICATION Date: /0- Site Address: S 7 ~d'Pt Cr Tenant: Suite RESIDENT / OWNER Name: J _ev°V^ 11 146 i wGI Phone: Low / Y 7 5 O tj e1 Address //City / Zip: I ~~CG w u-v~ 2 Gt J~ 5 (Z -z- CONTRACTOR Name: ~Gi License / +7 City: [ Oil Address: Yl`l «9 /w State: -MA) Zip: / Z Z Phone: &51 8'W - 9 0 f r Contact~~v-t. MCt t 1-1(q 1, Email A, 4t I I to ~<:~i? W e i-t u ~G~ a c ~d TYPE OF WORK New ~C Replacement Additional Alteration Demolition r`-Q 1 IA- c-.e 4L Deftription of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace _ New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ zD TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - if the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecalt.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x~ I Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required, Inspections: -Under Ground - Rough In -Air Test Gas Service Test -In-floor Heat -Final Exterior HVAC<Screenng Inspection